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Directory Update Form


We are updating our 2006 Church Phone Directories. If you have information you need to update, please fill out the form below. All information is sent to Diane Shore (336.714.5431) to update our church records and our directory information that will be distributed in the earlier part of 2007.

Please submit only the information you need changed.


Directory Update
* Required
First Name *
Last Name *
Email Address *
 
Birthday
Address Line 1

Address Line 2
City
State
Zip Code
 
Area Code
Phone Number
Home Phone
Work Phone
  Ext:
Cell Phone
Name of Spouse:
Names of Children:
Employer:
Other Information or Request:



    		 

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